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Broad chest, weak lungs - Are men more prone to respiratory diseases?The long-standing, chronic afflictionof the respiratory disease is called as COPD, i.e., Chronic Obstructive Pulmonary Disease. COPD is the obstruction within the lung tissue, causing improper circulation and entrapment of air. This limits the space for air to move in and out, directly affecting the quality of inhalation. A small reminder here may be necessary - breathing is synonymous with life, why? Because that's how we get oxygen, which is vital for the functioning of each and every cell within the body. With COPD, the ability to take in oxygen gets compromised increasingly. Continued cough, sputum, and shortness of breath are the main symptoms. COPD is more common in men. Does it have to do anything with being a male? Not necessarily. No specific link has been established to say that COPD risk is higher for you solely because you are a man. Then, what could it be? A study conducted in 2011 in USA showed that the number of men who smoke is 5% more than the women who do. To understand the reason behind this, let us see the primary causes of this disease. Air pollution, some genetic predispositions, frequent acute infections, exposure to harmful chemicals for a long time (usually occupational) - are some of the main causes, and the number one cause is smoking, owing to almost 80-90% of the cases. Park this thought. Next piece of information is simply revisiting some facts you may already know: #The gender classification ofsmokers - Men are known to smoke more than women all over the world, not only in numbers, but also in quantity. Whether it is a developing country or a developed one, 2011 studies say there are more male smokers everywhere than female smokers. Not only there are more men who smoke, they smoke for longer periods and more number of cigarettes than female smokers. This may vary from country to country, like India has much less women smokers than USA does, but the difference between the two genders holds true everywhere, only the ratios differ. #Occupational exposure to harmful chemicals and gases - These are industries of mining, textile, chemical engineering, welding, etc. The number of men working in such industries is way higher than women. #Air pollution - Men are more exposed to air pollution since they are outdoors more than women. This may not apply to all countries and societies, but is generally true. Now, we can put the pieces together and understand why COPD is more common in men? Yes, they are at a higher risk because of higher exposure to smoking, pollutants and irritants. Cigarette smoking is the leading cause of lung diseases and male smokers outnumber women across the world. You can figure out the math here!
Honeymoon cystitisHoneymoon cystitis is a term for urinary tract infections that occur commonly during early marriage. Sexual intercourse is the primary reason for developing this infection. The infection occurs when the E. coli bacteria that are normally present in the bowel are introduced into the urethra. This may happen through sexual intercourse, inserting unclean fingers or objects into the vagina. Women who wash their private parts from the back to front also have an increased chance of developing infection. Symptoms of honeymoon cystitis may include a burning or painful sensation during urination, the urge to urinate frequently, cloudy urine, blood-tinged urine, and/or pain above the pubic bone. Any of these is enough o play a spoilsport and dampen your honeymoon mood! Symptoms of honeymoon cystitis generally emerge within a day or two after bacteria are introduced into the urethra. A physician can confirm the diagnosis of infection through a simple urine test. The treatment usually involves antibiotics and pain-killers. What care should you take to avoid honeymoon cystitis from recurring? Use water based lubricant during sexual intercourse Urinate before and immediately after intercourse to flush out the bacteria from the urethra. Drink plenty of water to keep the urine normal Avoid coffee, tea and aerated drinks See a gynaecologist or a urologist if the problem recurs.  Urinary tract infections are extremely common in women and are the leading cause for visits to the doctor.
Marrying late in lifeConventionally, the marriage age is determined according to the linear formula of happiness that we have constructed and believe to be true. The formula being: getting married by 24 --> having children by 27 --> working (optional) --> becoming a grandparent (that too, real soon!). However, time and again, men and women wandering in their 40s-50s have woken up from the deep disturbed slumber to realize that maybe- just maybe, they had walked into things too fast. They had been unable to know who they are and to become a self-conscious human being before being ready to fuse their lives with another. The prime point of being single and marrying later in life is not to go on some form of egoistic joy-trip but to be able to know oneself and become ready to be the right person for the other. By marrying late, you give yourself time to experience freely what you like and dislike. You get to explore the world at your own terms- travel whenever you want and involve yourself in festivals and activities that manifest who you are. Marrying early doesn't allow for time to explore one's being, as marriage generally immediately follows the time you finish your studies or begin working. One of the most important aspects of adulthood today is travelling. However, every individual has unique wants of travelling and being a single adult will allow you to experience the world fully. You will also get in touch with yourself, exploring how you would like to live. The decision will arise from a ground of experiences which would clearly tell you what repels and what appeals to you. Such experiences are rarely findable once you begin living with another, as you would have to schedule your days and basically, your routine around the other's life as well. Financially, you have reached a point where you know how to take care and manage finances, allowing you to plan your wedding pragmatically. Marrying at a later point in your life allows you to be clear about when you would like to be a parent. Your experiences also ready you to be a considerate and understanding parent who can guide a child. As you grow older, you tend to become more tolerant and the propensity towards differences turning into unnecessary fights is lowered. As our ways of looking at the world change, every person as an individual has the need to learn to see the world as a home. This feeling of being at home is created only through series of experiences one has to go through as a responsible adult. In the face of inexperience, two individuals coming together often find themselves incapable of being happy with one another. Marrying later allows you to have grown into a wiser person yourself before sharing your life with another.
Bow legsCauses: Physiological - As mentioned before, bow legs are normal below 18 months of age. Thereafter as the child continues to grow the bowing begins to improve slowly. By the age of 3 to 4 the deformity usually gets corrected. Blount’s disease - This disease results in bowing of legs due to abnormality of the growth plate of the upper part of shinbone known as tibia. Growth plates are the growing end of the bones. It is diagnosed after the child is 3 to 4 years old. Rickets - Rickets is a group of diseases that occurs due to deficiency of vitamin D. Rickets is characterized by bow legs and other bony deformities. Most commonly rickets occurs in children due to deficient intake of vitamin D. Signs and symptoms: The bony deformity becomes visible when the affected child walks or stands. The uncommon walking pattern of the child is the commonest symptom. Bow legs usually do not cause any pain. However, persistent and severe bow legs cause discomfort to other bony structures like spine and hip. Test and diagnosis: The doctor at first asks questions to the parents regarding the development of the child. This is followed by physical examination of the child. Physical examination often suggests bow legs. If the doctor suspects an underlying disease, necessary laboratory tests are done. The doctor always asks for an x-ray of the affected legs to evaluate the severity and extent of bowing. Treatment: If the bow legs persist after 3 to 4 years or an underlying disease is detected, treatment is undertaken. Medical and non-surgical treatment- In cases of physiological bow legs, no treatment is required. The parents are reassured by the doctor and spontaneous resolution takes place by the age of 2 years. Continuous followup is advised for borderline cases. Children with Blount’s disease need treatment with a brace. Children with rickets need medical management by a specialist doctor. Additionally, they need advice and regular followup by an Orthopedic surgeon. Surgical treatment  - If the bony defects persist in children with bow legs even after medical and nonsurgical treatment, surgery is required to correct the bowing. Two types of surgery is advocated to correct bony deformity of the legs. Guided growth:  Growth of the healthy part of the growth plate is stopped and that of the abnormal part is promoted. This allows straightening of the legs. Tibial osteotomy: The shinbone (tibia) is cut and reshaped to correct the deformity. Then bone is fixed with screws and plate. In both surgeries a cast is applied to promote healing of the bone. Crutches may be required for a few weeks to prevent weight bearing on the limb. Later, physical therapies are advised for complete recovery of range of movements and regular activities. Prevention The parents need to be vigilant about appearance of any bony deformity in legs of their child. The child must be given adequate amount of vitamin D in diet or vitamin D supplementation to prevent development of rickets.
Pediatric diet formula food vs traditional foodAccording to the World Health Organisation, it is unnecessary to give your baby rice cereals at the age of four months as breast milk can provide all the nourishment a baby needs in the first year. No other solid food is required. Breast milk has all the nutrients like fats, protein, cholesterol, carbohydrates, vitamins and minerals which are required in the first year of life. According to most studies,formula foods are not the healthiest option to begin solid foods on. Doctors prefer that babies be given boiled vegetables and mashed fruits like bananas and not formula cereals that contain simple carbohydrates. It is not a good idea to give babies processed and refined foods that are found in all formula foods. Formula foods do have nutrients, but they are not as easy to absorb as nutrients from foods prepared at home. You can also ensure quality in food that is prepared at home. Formula foods cannot imitate the natural taste of foods. Babies like to choose foods according to taste just like the adults and you can give them a wide variety of choices like offering them different fruits and vegetables rather than the similar tasting formula. You will be surprised to know that mother's milk has the taste of the foods she eats and so babies develop taste for a variety and may like the insipid taste of formula. Another reason why formula foods may not work that well is that they contain cereals. However, the enzymes that are required to digest carbohydrates are not fully developed in babies until they are more almost three years old. Cereals and breads are very difficult for babies to digest. Undigested grains can throw off the balance of bacteria in the gut and this is the reason for a lot of digestive issues once they are grown up. Solids should not be introduced until six months of age, as studies now reveal that if solid foods are given early on then it increases the likelihood of allergies, especially of those foods introduced. Babies produce only few enzymes and digestive juices that are mainly required to digest protein and fats. This is because mother's milk has 50 to 60% healthy fat which is a must for the babies' mental and physical growth. Most baby infant nutritionists feel that formula feed is not a complete food. Babies will get deficiency,such as iron, as it is difficult to absorb them from formula foods. The debate continues as many feel that the marketing gimmicks are what selling these foods and not the nutritional value they provide to babies. A note of caution, excessive amount of juices are harmful for babies as these can lead to obesity.
Cleanliness - A clean body, clean mindPhysical Benefits: Killing of Germs: Disinfecting your living area allows negligible scope for breeding and spreading of germs and bacteria. Though not visible to your eyes, many of these can cause severe illnesses. Prevention of Food Contamination: Clean cooking utensils and counter tops allow for low risk for contamination of food. The parts of the utensils which have come in contact with fish, raw meat, or eggs are recommended to be washed with hot water and soap. Make sure you wash your hands to avoid spreading of any bacteria in your house.  Keeps Illnesses and Allergies at Bay: Many allergies could be caused due to dirty mattresses, carpets, sheets, walls, and furniture. In order to keep away mold, dust mites, cobwebs, and mildew, make sure you dust, mop, and vacuum the house on a regular basis. The sheets should be washed at least once a week with hot water and detergent. Floors and walls, wardrobes, and refrigerator should be cleaned using disinfectant sprays up to 2 to 3 times per month. Thoroughly clean your carpet and upholstery at regular intervals. Psychological Benefits: Association of Non-Cleanliness with Moral Lapse: In a review by Current Directions in Psychological Science, it has been found that physical cleanliness does not only physically benefit a being, it also results in weighing the person on a moral radar. When we perceive a physical contamination, we respond in the same way as we would in case of an act of moral disobedience. This response includes repulsion and disgust accompanied by their behavioural components like scowling and frowning. Sense of Accomplishment: Those who clean their house and living space have been found to have a consequent sense of accomplishment that adds to the way one feels about oneself. Clarity and Organization of Thoughts: It has been discovered that those living in a clean and neat environment tend to have a greater capacity to think than those who live in a messy and unclean atmosphere. Proactive Sanitation Teaching for Children: Start with your own home. A child emulates its parents, and if the parents practice cleanliness as part of their lives, children would notice and follow suit. Children tend to connect who they are with their home environment and as they grow up they ensure that such a cleanliness of their world around is maintained.  towards their immediate surroundings, thus ensuring that they do not contribute towards pollution and environmental degradation, at least on an individual level.
Are you a chocoholic? : Dealing with chocolate addictionSerotonin is a hormone that produces relaxed and happy mental state. This hormone is activated when you consume sweet and high-fat foods. Apart from serotonin, chocolate also contains phenylethylamine which produces feelings of enthusiasm and attraction. The obsession with chocolate is marked by intense craving for it, loss of control over its consumption, and continual consumption despite negative repercussions. Is chocoholism a true addiction? Chocolate is a manifestation of desires and there is also a resistance to it. This cultural phenomenon of mysterious romance and excitement increases the attractiveness of chocolate. Apart from these, advertising and grocery shop displays also connect chocolate with an object of desire, thus triggering its need in times of emotional stress. Though the symptoms shown by those who are addicted to chocolate is much like those who are misusing substance, it is generally not considered an addiction in a true sense, as this is an acquired obsession (through culture and media) than due to bodily changes. Foods like broccoli also contain the mood-altering ingredients, even in higher concentrations. The compulsion with chocolate is considered to be owing to its texture, sweetness, and aroma. Here are a few steps to overcome your chocolate addiction: Step 1- Symptom AcknowledgmentWhile it is not considered a true addiction by many psychologists, most agree that the experience of compulsion towards chocolate is much like the ones towards drugs. It is important to diagnose and check your condition. You need to have a chocolate bite everyday. Generally, a particular time is chosen, like after lunch when your mind is a little discharged and you need that small bit of kick to arouse yourself back to normalcy. If you do not have access to chocolate, you feel anxious and find ways to get hold of a chocolate bar. Step 2- Know The ConsequencesIf you recognize that you are suffering from chocolate addiction, then be aware of the problems which it causes. It will lead to a series of bites where there would be no nutritional value and only fat and sugar induced by the chocolate. You would be needy for the chocolate, and thus, your emotions will be ruled by a bar of sweet. You might get headaches after eating chocolate, but you would still eat it anyway. You might hide and consume chocolate, owing to the disapproval of your companions. Your health will gradually deteriorate with constant burden on your pocket to keep a stash of chocolate around. Step 3- Identify The CauseChocolate is a response to a root problem. For this purpose, you have to carefully observe the nature of your chocolate consumption. Note the triggers to your choco-pangs. Do you eat chocolate to lift your mood when you are sad or upset? Have you been on diet for too long, and because of suppressing the cravings, you see the chocolate bar as 'just one time' deal which is indefinitely extended? Maybe you feel excited and urge to eat chocolate just by thinking about chocolate. Lastly, you might be bored and want to while away your time. In the act of busying yourself, you find yourself munching on multiple bars of chocolate. Did you know that the impact of chocolate on the human psyche is greatly shaped by the idea of chocolate being a representative of romance and desire? Majority of young adults believe that chocolate is a symbol of love and the tendency to get addicted to it is strengthened with the hormones it produces. To avoid chocolate addiction, make sure you work on your eating pattern carefully. Step 4- Empathetic Path to RecoveryOnce you have found the root cause of your addiction, work on your problems gradually and with empathy. Don't push yourself to completely give it up unless you have been medically advised to go off it completely. Step 5- The Emotional EaterIf you consume chocolate when sad, find alternatives to feel better. For instance, some people listen to music or love to play with dogs to feel relaxed. Find your non-chocolaty solution to emotional problems. The best way would be to explore the cause of sadness and communicate with your friend or companion about it. This will nullify the possibility to there being any other dependency shift from chocolate. Step 6- The Boredom EaterIf you find yourself nibbling on chocolate when you are bored, then first become conscious of the act. After having eaten chocolate for boredom for months or years, one has to remind oneself about the act. So, look for other ways to spend your time. Pick up a hobby you like and pursue it. If you are really craving chocolate, then talk to someone who knows about your addiction and can divert your attention. Step 7- Dietary ChangesMake sure you shift to a balanced diet full of whole grain, fresh fruits and vegetables as well as water. You may also include nuts and dry fruits in your diet as well. Step 8- Scheduled Chocolate ConsumptionMake a resolution that you would only have chocolate once in three days (initially) and then slowly taper it off to only special occasions. Step 9- Withdrawal SymptomsWhen you are reducing the amount of chocolate you eat daily, you will undergo withdrawal signs. This will include headache, mood swings, depression, and in severe cases, flu. Be strong and do not give in to the symptoms. Busy yourself with other activities and do not concentrate on chocolate. Step 10- Sleeping, Eating and ExercisingThere are three prime components of healthy living: eating a balanced diet, drinking at least 8 to 10 glasses of water daily, getting adequate sleep (7 to 8 hours), and performing moderate exercise daily for 30 to 45 minutes. Focus on healthy living and build a harmonious relationship with any food item that you consume. Chocolate is a manifestation of desires and there is also a resistance to it. This cultural phenomenon of mysterious romance and excitement increases the attractiveness of chocolate. Apart from these, advertising and grocery displays also connect comfort in modern living with chocolate, thus triggering its need in times of emotional stress.
Sunburn: Overview and treatmentSunburns could also be accompanied by allergic responses to medicines, exposure to sun and sunscreen products, sight-related issues like reduced or complete loss of vision, as well as heatstroke. Over a long period of time, frequent cases of sunburn can result in cold sores, cataracts, skin cancer, and lupus.  The factors which will decide the vulnerability to sunburns are: Type of skin - The type of skin determines the vulnerability and intensity of the sunburn. The most vulnerable groups are those with freckled and fair skin as well with blonde or red hair. Regardless of the color of the skin, all skin types are vulnerable to skin cancer and proper sun protection must be used during times of sun exposure. Season - Summer days carry with them a higher probability of burning the skin. UV Index - This refers to the forecast of the strength of UV light on a particular day. This will let you know the cautionary measures you need to take in order to avoid skin damage. This is put forward on a scale of 0 to 11+ with 0 being the lowest exposure. Latitude - As you move to locations closer to the equator, the sunlight directly passes through the atmosphere to a greater extent. Age - Those who are younger than 6 years of age and those over 60 years are at a greater risk of getting sunburns. Altitude - As you climb higher and higher, the chances of sunburn are also greater since the amount of Earth's atmosphere to keep away the sunlight reduces. Every elevation of approximately 1000 feet, the UV exposure is amplified by about 4%. Location - If you are close to reflective surfaces like snow, water, ice, concrete and white sand, rays of the sun which get reflected off these might harm you. Time of the day - The rays of the sun are strongest between 10 in the morning and 4 in the evening. Though, the probability of getting sunburn are lower on cloudy days, it is possible for the UV rays of the sun to pass through the clouds and negatively affect your skin health. Here are the precautionary steps you can take to avoid getting sunburn: Avoid staying in the sun for a long period of time. Make use of sunscreen and choose clothing which cover your skin. In case you are suffering from sunburn, here are ways to treat it: An over-the-counter pain reliever: In order to lower the inflammation and relieve pain, use ibuprofen or aspirin. Anti-inflammatory condiment: Cortisone cream and aloe vera are two primary ways of reducing the inflammation. Cool bath: Take bath for about 10-20 minutes in water of cool temperature (make sure the water is not too cold). This will cut back the pain and irritation in affected area.  Do not use any bath oil, soap or detergent as this might increase the chances of allergic reactions and irritation to the injury. When drying yourself after the bath, do not rub with towel. Cold compressions: Try application of cold and wet compressions on the concerned region for about 20-30 minutes. Adequate hydration: Make sure you drink at least 8-12 glasses of water to help your skin to recover from the sun damage. Moisturizer: Once your skin begins to heal, use a gentle moisturizer without any scent. Blister treatment: In case you have blisters, do not try to pop them. This will lead to infection and marks.However, if you have large blisters which require to be drained, then pop them using a sterilized needle. Follow this by cleaning the area dry with gauze. After applying ointment to the area (Aloe vera or antibiotic ones like bacitracin and polymyxin B), wrap the area loosely using a gauze bandage. Make sure you do not tie it tightly and change the gauze daily to avoid infection. Medical attention: In case you feel nauseous along with fever, rashes and chills, then make a visit to the doctor. The following symptoms also require you to seek medical attention immediately: Pain in eyes with sensitivity to light, dizziness, high thirst without proper urination, painful blisters, and pale/cool skin.
Benefits of meditation: How daily meditation helps you lead a wholesome life Sharper memory: One of the most important cognitive capacities we use daily is our memory. With higher amount of stress on your brain and body due to demands at workplace and home, there is high probability of negative effect on your memory. This can be countered by mindfulness meditation where the focus of attention is a particular physical sensation. This lets you quiet your mind and learn to be attentive solely to the matter at hand, thus allowing your brain to be able to remember more sharply and quickly. Dealing with stress: Stress is the buzzword for anyone who is leading their life in busy cities. Starting from the hurried walk into the office to the pressure of meeting deadlines and reaching home exhausted only to find oneself engrossed in another set of tedious jobs is the condition of daily life for most people. Meditation will allow you to cope with stress in a stronger way by bringing the energies of your body under your control, thus giving you the power to channelize them effectively. Giving up painkillers: Recent medical studies, especially ones conducted in Montreal in 2010, showed how the practice of Zen meditation structures the brain in such a manner that its capacity to sense and deal with pain increases. Primarily practiced by Buddhist monks, Zen is the form of meditation where you focus on your breathing and posture while watching and letting your mind gradually turn quiet. In this way, you can put those pain killers away and increase your innate capacity to deal with pain. Happiness quotient: Prefrontal cortex is the part of brain concerned with positive emotions and feelings. Those who meditate have been seen to have greater activity in this area. Major journals and research institutions focusing on depression and role of meditation in reducing it have found that meditation helps the person to feel in control of their life by subtly changing the working of their brains and thus, resulting in greater capacity to cope with depression and negative feelings. Good for your heart: Two kinds of meditation which are greatly beneficial for smooth working of your heart are Zen and Transcendental meditation. Transcendental meditation, taking after its name, helps you to transcend your worries through attention on chanting. It has been found that meditating daily helps to reduce the chances of stroke and heart attacks by over 40%.
All you need to know about angioplasty!Why would you need coronary angioplasty? The walls of the arteries are being constantly lined with a fatty material called plaque. This plaque increases in certain conditions like atherosclerosis. When the build-up is too high, the artery gets blocked and the subsequent tissue receives very less or no blood, causing it to die. The plaque at times may be dissolved by medicines but if it is too big, medicines prove ineffective. This is manifested outwardly as a heart attack. This is the time when the doctor would recommend the coronary angioplasty as a treatment for you. How is it done? A thin catheter with a deflated tiny balloon at one end is inserted into the affected artery. Once the exact location of plaque build-up is reached, the balloon is inflated causing the plaque to get pushed against the artery wall and creating free space for the blood to flow. A small mesh called a stent may be placed to hold the artery in place. Some stents are coated with medicines that prevent the scar tissue formation following the angioplasty procedure. The procedure may be done as an emergency or it may be planned. If it is a planned procedure: You will have to get hospitalized and stop eating or drinking 6 to 8 hrs before the procedure. Once the procedure is done, the doctor would prefer you staying in the hospital overnight to watch for any adverse events that may happen. What happens after the surgery? The surgery lasts for 1 to 2 hours and you would be allowed to go home the next day. You will be advised not to undergo vigorous and strenuous exercises and to rest adequately. Most people are fit to return to work a week after the surgery.
Flash the pearliesRemember the lines from the song, Words? Smile an everlasting smile, a smile can bring you near to me.  Well, ideally, you wouldn't want your teeth to be yellow when you flash that smile. So for those who have shades of yellow on their teeth, here's how you can go back to white. It's first important to understand what causes yellowing of the teeth. Eating habits: Carbonated drinks dissolve teeth enamel. Tea, coffee and other caffeinated drink stain the teeth yellow.In addition, alcohol and cigarette smoking too can stain teeth. Tobacco chewing especially produces stains that are difficult to remove.Food rich in artificial sweeteners are harmful for teeth. They not only make the teeth yellow but also produce cavities. Chocolates, pastries, ice-creams and all such sugar-rich foods are sticky. They stick to teeth and have corroding effect on tooth enamel and dentin and cause yellow teeth, decay and toothache. Oral hygiene: Poor hygiene of oral cavity leads to stains and caries. Take good care of your teeth. Brush teeth twice. Floss them and use a mouthwash. Ageing: Gradual loss of enamel and wear and tear lead to yellow teeth. Medicines: Medicines like iron tablets, tetracycline too can lead to yellow teeth. Injury: Trauma to teeth can sometimes lead to yellowing. This is common amongst kids. Preventing yellowing of teeth Maintain a good dental hygiene. Brush twice for atleast 3-4 minutes. But be gentle while brushing teeth. Gargle every time after you eat.This removes the leftover food particles and keeps the teeth clean. Avoid use of local powders or corrosive substances. They damage enamel. Fruits like apple, cucumber, and carrot act like cleansing agents and keep teeth clean. Fruits like sweet lime are rich in vitamin C and help to keep gums and teeth healthy.
Is sex linked to self esteem?Man is a curious creature, full of quirks and contradictions. Sexual intercourse, something that most people consider an intimate and private experience, is spoken about in hushed tones and often, with some discomfort. We don't reveal or talk about our sexual desires, as readily we discuss our salary packages or food habits. This is quite ironic seeing how sex is an important gauge for a person's self esteem and also an indicator of his/her social desirability. The very thing that we do under covers, we somehow choose to "keep under cover". The Link between Sex and Self Esteem: Self esteem is an important factor that determines the mental & physical well-being of an individual. All of us have a craving to be understood, liked and appreciated; and these form the equivalent of our basic needs on the inverted pyramid- Food, clothing and shelter. For a human being to flourish and prosper, consumable food, without the mental food of appreciation, is not enough; and sexual intercourse or an intimacy with the opposite sex, is one way of validating that need. Sex therefore, ceases to be just a physical need instilled by nature for the perpetuation of the species, but goes into the larger emotional cum psychological dimension of self actualization and realization. Though some of us might be embarrassed to broach the topic of 'whether or not we are getting enough', the truth is that every human seeks to achieve his sexual potential, even while he or she might, not be aware of it. Most of us have the ability to get the foods matching our taste preferences onto our plates, but with sex, this could be a little difficult, since sex, is a complex subject with a lot of social, moral and religious links. The truth is evident in the number of marriages (the very cornerstones of civil society) that fail on the basis of sexual compatibility, either by setting unrealistic sexual expectations or by not owning up to, or even identifying, one's sexual needs. This has repercussions on the psyche and self-esteem of a person, and this is especially true in the case of men in particular, as they may feel completely inferior for not being able to attract a sexual partner matching his desires. In some people, this also leads to a case of self-loathing, for having sexual needs which a partner doesn't understand, or much worse, needs which are considered taboo and sinful (Homosexuality, Anal Sex, Group Sex, Fetishes, etc.) These complex emotions can wreak  havoc on a person's self-esteem, by creating severe internal conflicts and serious self-doubts. Now socially, sex can either liberate a person, or hold him prisoner. At times, the unfulfilled needs may get repressed and banished to the shadows, only to be played out later, in the form of sexual adventurism and crime. Just one look at the sexual crimes in our society today, and we can clearly understand just how healthy our collective self esteem is! The very society that frowns upon prostitution, is actually responsible for creating it, though everybody would like to pretend otherwise. The crux of the matter is that "sex" and "self esteem" are closely related; and one should not shy away from addressing any issues one might face regarding one's sexuality. Physical love is necessary for the survival of a relationship and one needs to make time and efforts to successfully create one's own sexual space. The positive effects of a good sex life can be seen in an increased work productivity, fewer illnesses and an increase in one's overall efficiency. Some people are haunted by sexual guilt and confusion and when they keep it all locked up, they suffer from unexplained physical pains and feel 'down in the dumps' mentally. Another problem with appreciation from the opposite sex, is the addiction to  external validation. Some people feel utterly worthless until they receive positive feedback about their looks or abilities on a regular basis. This can be downright devastating, as in these cases, there is a great dependence on external factors for one to feel good. While no one denies the "feel good factor" of sexual appreciation, it is up to each one of us, to decide just how much of control one must be giving to external factors, to determine our personal self-esteem. The appreciation may be theirs, but the esteem is entirely of the self and only the self can decide how much of appreciation and sex is enough.
What, how, and why of the sex muscle answeredWhat the Penis is made up of? The penis is made up of several parts. The head: This is also called as the 'glans'. The glans is coated with soft pinkish tissue called the mucosa. The protective covering of the glans is called the foreskin. The foreskin is retractable. In circumcised men, it is the foreskin that is removed. The shaft: The shaft or the body of the penis has two surfaces. The dorsal part i.e. the upper part of an erect penis and the ventral part i.e. the lower part that faces backwards in a flaccid penis. The root: This is the attached part of the penis. Corpus cavernosum: This is the tissue that lines the shaft on two sides on the dorsal side. During sexual excitement, this corpus cavernosum fills with blood that results in the stiff erect penis. Corpus spongiosum: This is the tissue layer running in between the two layers of corpus cavernosum on the ventral side of the shaft. The urethra: This is a narrow tube that runs through the corpus spongiosum. The urethra's main function is to excrete the urine out of the body. How the Penis does what it is supposed to do? Urination: The process of expelling urine is a coordinated act involving the bladder muscles, the central and the somatic nervous systems. The urethra present in the penis serves as a tube for the urine to pass out. Erection: A erect penis is required for the successful insertion into the vagina. During the height of sexual excitement, there occurs dilatation or enlargement of the blood vessels in the corpus cavernosum causing a rush of blood into it. This elongates the penis and makes it hard and stiff. Erection angles: The way a normal penis points when erect is called the erection angle. The penis is either pointing straight to the front or it may be facing up or down to the feet. An upward angle is most common. A study published in 'Journal of Sex and Marital Therapy', shows the erectile angles in standing males from 20 to 69 age groups in the following table In the table, zero degrees is pointing straight up against the abdomen, 90 degrees is horizontal and pointing straight forward, while 180 degrees would be pointing straight down to the feet. Angles from vertically upwards: 0-3 - 5% of male 30-60 - 30% of males 60-85 - 31% of males 85-95 - 10% of males 95-125 - 20% of males 120-180 - 5% of males Ejaculation: Ejaculation is when the semen is pushed out of the penis. During the sexual act, the process of ejaculation forms the culmination with the male achieving an orgasm immediately after. At times, there is ejaculation of semen spontaneously during sleep, called Wet Dreams. Normal Variations- When you have what others don't (and it is completely normal to have them)! Curvatures: While most penises are straight, it is not abnormal to have a curved penis. Curvatures up to 30 degrees are considered normal and no medical attention is advised. Over 45 degrees may need you to get yourself checked for certain diseases, though. Phimosis: This is the inability to retract the fore-skin fully. It is harmless and occurs in about 8% of boys. The British Medical Association suggests that no medical treatment may be required till 19years of age. Pearly Penile Papules: These are small pale bumps that are found around the tip of the penis. They are very common in men aged 20 to 40 years and may be mistaken for warts. Unlike warts though, they are completely harmless and require no treatment. The human penis has one of the most advanced designs through eons of natural selection for high sperm competition. Disorders of the Penis: When you have what others don't (and it is not normal to have them)! Paraphimosis: This is the inability to retract the foreskin. It may be extremely painful when retracted. This condition occurs when there is leftover fluid accumulated n the foreskin due to some previous surgery. Peyronie's Disease: This is a condition where the penis is extremely curved. It is caused due to a scar tissue running through the shaft of the penis. There is an option of surgical correction. Herpetic Eruptions: This can happen when there is unprotected intercourse with an infected partner. It shows as painful ulcers and eruptions on the head and shaft of the penis. Absence of sensations and erection: This is a condition where one is not able to feel any kind of sensation in the penis and a total lack of erection. This occurs secondary to diabetes mellitus and also as an after-effect of past falls on the back or injuries to the groin area. Erectile Dysfunction: This is a condition that happens due to psychological stress, performance anxiety, natural ageing and diabetes mellitus. It is expressed as an inability to get aroused or inability to maintain the erection for a time enough for proper sexual activity. Priapism: This is a serious condition requiring immediate medical attention. Here the erect penis fails to return to its flaccid state and as a result may lead to potentially serious conditions like a thrombosis or gangrenous state. Severe cases may require amputation too. The causative mechanisms are not well-known but involve complex neurological and vascular factors. The condition is associated with drugs like sildenafil, commonly known as Viagra. Pudendal Nerve Entrapment: Too tight pants and underwear, arrow hard bicycle seats, accidents can lead to this condition. The symptoms include loss of sensation and ability to achieve orgasm along with pain in the penis during sitting. Infections: Common infections of the penis include balanitis, urethritis, syphilis and gonorrhea. Theya re characterized by burning, itching and foul discharge. Lasting longer in bed is every man's desire. How do you go about it is very important. Follow the right diet and exercises along with lifestyle changes to achieve the desired effect in bed. Stay away from medications that claim to make you last long. Ref: Sparling J (1997). "Penile erections: shape, angle, and length". Journal of Sex & Marital Therapy 23 (3): 195-207
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